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Management of adnexal mass in pregnancy: case report and review.

Yıl 2015, Cilt: 46 Sayı: 1, 13 - 18, 21.01.2015
https://doi.org/10.16948/zktb.92502

Öz

Adnexal masses during pregnancy which have a wide spectrum treatment from conservative follow -up to complicated surgery have no well established approach algorithm for management. Most of these masses are asymptomatic and thanks to rutin ultrasonography in early pregnancy these lesions can be determined easily. The majority of them are benign and disappear spontaneously as pregnancy grows. But, if the mass persist, it can be challenging for physician and patient in terms of management. For all these reasons, we wanted to review the diagnosis, follow-up and recent treatment options in the light of literature inspired by a case which has reffered to our clinic with the diagnosis of adnexal mass during pregnancy.

Kaynakça

  • Kumarı I, Kaur S, Mohan H, Huri A. Adnexal masses in pregnancy: A 5 year Review. Aust N Z Obstet Gynecol 2006;46:52-4.
  • DePriest PD, deSimone CP. Ultrasound screening in the detection of ovarian cancer. J Clin Oncol.2003;21:194s-9s.
  • Hill LM, et al. The role of ultrasonography in the detection and management of adnexal masses during the second and third trimester of pregnancy. Am J Obstet Gynecol1998;178:703-7.
  • Whitecar P, Turner S, Higby K. Adnexal masses in pregnancy. A review of 130 cases undergoing surgical management. Am J Obstet Gynecol.1999;181:19-24.
  • Yakasai IA, Bappa LA. Diagnosis and management of adnexal masses in pregnancy. J Surg Tech Case Rep.2012 Jul-Dec;4(2):79-85.
  • Bromley B, Benacerraf B. Adnexal masses in pregnancy: Accuracy of sonographic diagnosis and outcome.J Ultrasound Med.1997;16:447-52.
  • Brown DL, Doubilet PM, Miller FH, et al. Benign and malignant ovarian masses: selection of the most discriminating grey-scale and Doppler sonographic features. Radiology1998;208:103-10.
  • McCarthy A. Miscellaneous medical disorders Dewhurst's textbook of Obstetrics and Gynaecology. 7th ed. United States: Blackwell Publishing;2007,pp.283-8.
  • Aslam N, Ong C, Woelfer B, Nicolaides K , et al. Serum CA125 at 11-14 weeks of gestation in women with morphologically normal ovaries.BJOG.2000;107:689-90.
  • Yuen P, Ng P, Leung P, et al. Outcome of laparoscopicmanagement of persistentadnexal mass during the second trimester of pregnancy. Surg Endosc.2004;18:1345-7.
  • Wheeler TC, Flesischer AC. Complex adnexal mass in pregnancy predictive value of color doppler sonography.J Ultrasound Med.1997;16:425-8.
  • Fleischer AL, Dimesh MS, Entman SS. Sonographic evaluation of maternal disorders during pregnancy. Radiol Clin North Am. 1990;28:51.
  • Platek DN, Henderson CE, Goldberg GL. The management of a persistemt adnexal mass in pregnancy. Am J Obstet Gynecol.1995;173:1236.
  • Zanetta G, Mariani E, Lisson A. A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. Br J Obstet Gynacol 2003;110:578.
  • Hess LW, Peaceman A, O'Brein WF. Adnexal mass occurring with intrauterine pregnancy: Report of fiftyfour patients requiring laparatomy for definitive management. Am J Obstet Gynecol.1988;158:1029.
  • SoronoD, Yefet Y, Seidman DS. Laparoscopy versus laparatomy in the management of adnexal masses during pregnancy. Fertil Steril.1999;71:955.
  • Benhard LM, Klebba PK, Gray DL, Mutch DG. Prediction of persistence of adnexal masses in pregnancy. Obstet Gynecol.1999;93:585-9.
  • Schemeler KM. Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Obstet Gynecol.2005;105:1098-103.
  • Usui R. A retrospective surgery of clinical, pathological and prognostic features of adnexal masses operated during pregnancy. J Obstet Gynecol Res.2008;26:89-93.
  • Koonings PP, Platt LD, Wallece R. Incidental adnexal neoplasms at cesarean section. Obstet Gynecol.1988;72:767-9.
  • Nick AM, Schemeler K. Adnexal masses in pregnancy. Perinatology.2010;2:13-21.
  • Usui R, Minakami H, Kosuge S, et al. A retrospective survey of clinical, pathologic and prognostic features of adnexal masses operated ob during pregnancy. J Obstet Gynaecol Res.2000;26:89-93.
  • Mazze RI, Källėn B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases.Am J Obstet Gynecol1989;161:1178-85.
  • Lenglet Y, Roman H, Robishong B, Bourdel N, at al. Laparoscopic management of ovarian cyst in pregnancy. Gynecol Obstet Fertil.2006;34:101-6.
  • Ko ML, Lai T, Chen S. Laparoscopic management of complicated adnexal masses in the first trimester of pregnancy. Fertil Steril.2009;52:327-34.
  • Soriano D, Yuval Y, Saidman D, Goldenberg M, et al. Laparoscopy versus laparatomy in the management of adnexal masses in pregnancy. Fertil Steril. 1999;71:955-60.
  • Reedy M, Kallen B, Kuehl T. Laparoscopy during pregnancy: a study of five fetal outcome parameters, with use of Swedish Health Registry. Am Obstet Gynecol.1997;177:673-80.
  • Amos J, Schorr S, Norman P, et al. Laparoscopic surgery during pregnancy. Am J Surg.1996;171:435-7.
  • Bunyavejchevin S, Phupong V. Laparoscopic surgery for presumed benign ovarian tumor during pregnancy. Cochrane Database of Systematic Reviews2013,Issue1. Art.No.:CD005459.doı:10.1002/14651858.cd005459.pub3.
  • Akira S, Yamanaka A, Ishihara T, Takeshita T, Araki T. Gasless laparoscopic ovarian cystectomy during pregnancy: comparison with laparotomy. Am J Obstet Gynecol 1999;180:554–7.
  • Tanaka H, Futamura N, Takubo S, Toyoda N. Gasless laparoscopy under epidural anesthesia for adnexal cysts during pregnancy. J Reprod Med 1999;44:929–32.
  • Beebe DS, Swica H, Carlson N, Palahniuk RJ, Goodale RL. High levels of carbon monoxide are produced by electro-cautery of tissue during laparoscopic cholecystectomy. Anesth Analg 1993;77:338–41.
  • Guidelines for diagnosis, treatment and use of laparoscopy for surgical problems in pregnancy. Los Angeles(CA): Society of American Gastrointestinal and Endoscopic Surgeons(SAGES);2011.
  • Guidelines Committee of the Society of American Gastrointestinal and Endoscopic Surgeons. Yumi H. Guidelines for diagnosis, treatment and use of laparoscopy for surgical problems in pregnancy. Surg Endosc.2000;10:511-5.
  • Schemeler K, William W, Jeffrey PF, et al. Adnexal massesin pregnancy: Surgery compared with observation. Obstet Gynecol.2005;105:1098-103.
  • Backes CH,Moorehead PA, Nelin LD. Cancer in pregnancy: fetal and neonatal outcomes. Clin Obstet Gynecol 2011;54:574–90.
  • Brewer M, Keuck A, Runowicz CD. Chemotherapy in pregnancy. Clin Obstet Gynecol 2011;54:602–18.

Gebelikte adneksiyel kitleye yaklaşım: olgu sunumu ve derleme.

Yıl 2015, Cilt: 46 Sayı: 1, 13 - 18, 21.01.2015
https://doi.org/10.16948/zktb.92502

Öz

Konservatif takipten komplike operasyonlara kadar geniş bir spektrumda tedavi gerektiren gebelikteki adneksiyel kitlelere yaklaşımda belirlenmiş bir konsesusu yoktur. Sıklıkla asemptomatik olan bu kitleler erken gebelik döneminde rutin ultrasonografik tarama sayesinde erken dönemde saptanabilmektedir. Büyük çoğunluğu benign olup ilerleyen gebelik haftalarında spontan rezolusyona uğrar ancak persiste eden kitleler hekimi ve hastayı takip ve tedavide zorlayabilir. Bu nedenle biz, ilk antenatal vizitte tesadüfen saptanan ve komplike adneksiyel kitle tanısı ile kliniğimize refere edilen hastamızdan yola çıkarak gebelikteki adneksiyel kitlelerin tanı, takip ve tedavisini literatur verileriyle irdelemek istedik.

Kaynakça

  • Kumarı I, Kaur S, Mohan H, Huri A. Adnexal masses in pregnancy: A 5 year Review. Aust N Z Obstet Gynecol 2006;46:52-4.
  • DePriest PD, deSimone CP. Ultrasound screening in the detection of ovarian cancer. J Clin Oncol.2003;21:194s-9s.
  • Hill LM, et al. The role of ultrasonography in the detection and management of adnexal masses during the second and third trimester of pregnancy. Am J Obstet Gynecol1998;178:703-7.
  • Whitecar P, Turner S, Higby K. Adnexal masses in pregnancy. A review of 130 cases undergoing surgical management. Am J Obstet Gynecol.1999;181:19-24.
  • Yakasai IA, Bappa LA. Diagnosis and management of adnexal masses in pregnancy. J Surg Tech Case Rep.2012 Jul-Dec;4(2):79-85.
  • Bromley B, Benacerraf B. Adnexal masses in pregnancy: Accuracy of sonographic diagnosis and outcome.J Ultrasound Med.1997;16:447-52.
  • Brown DL, Doubilet PM, Miller FH, et al. Benign and malignant ovarian masses: selection of the most discriminating grey-scale and Doppler sonographic features. Radiology1998;208:103-10.
  • McCarthy A. Miscellaneous medical disorders Dewhurst's textbook of Obstetrics and Gynaecology. 7th ed. United States: Blackwell Publishing;2007,pp.283-8.
  • Aslam N, Ong C, Woelfer B, Nicolaides K , et al. Serum CA125 at 11-14 weeks of gestation in women with morphologically normal ovaries.BJOG.2000;107:689-90.
  • Yuen P, Ng P, Leung P, et al. Outcome of laparoscopicmanagement of persistentadnexal mass during the second trimester of pregnancy. Surg Endosc.2004;18:1345-7.
  • Wheeler TC, Flesischer AC. Complex adnexal mass in pregnancy predictive value of color doppler sonography.J Ultrasound Med.1997;16:425-8.
  • Fleischer AL, Dimesh MS, Entman SS. Sonographic evaluation of maternal disorders during pregnancy. Radiol Clin North Am. 1990;28:51.
  • Platek DN, Henderson CE, Goldberg GL. The management of a persistemt adnexal mass in pregnancy. Am J Obstet Gynecol.1995;173:1236.
  • Zanetta G, Mariani E, Lisson A. A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. Br J Obstet Gynacol 2003;110:578.
  • Hess LW, Peaceman A, O'Brein WF. Adnexal mass occurring with intrauterine pregnancy: Report of fiftyfour patients requiring laparatomy for definitive management. Am J Obstet Gynecol.1988;158:1029.
  • SoronoD, Yefet Y, Seidman DS. Laparoscopy versus laparatomy in the management of adnexal masses during pregnancy. Fertil Steril.1999;71:955.
  • Benhard LM, Klebba PK, Gray DL, Mutch DG. Prediction of persistence of adnexal masses in pregnancy. Obstet Gynecol.1999;93:585-9.
  • Schemeler KM. Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Obstet Gynecol.2005;105:1098-103.
  • Usui R. A retrospective surgery of clinical, pathological and prognostic features of adnexal masses operated during pregnancy. J Obstet Gynecol Res.2008;26:89-93.
  • Koonings PP, Platt LD, Wallece R. Incidental adnexal neoplasms at cesarean section. Obstet Gynecol.1988;72:767-9.
  • Nick AM, Schemeler K. Adnexal masses in pregnancy. Perinatology.2010;2:13-21.
  • Usui R, Minakami H, Kosuge S, et al. A retrospective survey of clinical, pathologic and prognostic features of adnexal masses operated ob during pregnancy. J Obstet Gynaecol Res.2000;26:89-93.
  • Mazze RI, Källėn B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases.Am J Obstet Gynecol1989;161:1178-85.
  • Lenglet Y, Roman H, Robishong B, Bourdel N, at al. Laparoscopic management of ovarian cyst in pregnancy. Gynecol Obstet Fertil.2006;34:101-6.
  • Ko ML, Lai T, Chen S. Laparoscopic management of complicated adnexal masses in the first trimester of pregnancy. Fertil Steril.2009;52:327-34.
  • Soriano D, Yuval Y, Saidman D, Goldenberg M, et al. Laparoscopy versus laparatomy in the management of adnexal masses in pregnancy. Fertil Steril. 1999;71:955-60.
  • Reedy M, Kallen B, Kuehl T. Laparoscopy during pregnancy: a study of five fetal outcome parameters, with use of Swedish Health Registry. Am Obstet Gynecol.1997;177:673-80.
  • Amos J, Schorr S, Norman P, et al. Laparoscopic surgery during pregnancy. Am J Surg.1996;171:435-7.
  • Bunyavejchevin S, Phupong V. Laparoscopic surgery for presumed benign ovarian tumor during pregnancy. Cochrane Database of Systematic Reviews2013,Issue1. Art.No.:CD005459.doı:10.1002/14651858.cd005459.pub3.
  • Akira S, Yamanaka A, Ishihara T, Takeshita T, Araki T. Gasless laparoscopic ovarian cystectomy during pregnancy: comparison with laparotomy. Am J Obstet Gynecol 1999;180:554–7.
  • Tanaka H, Futamura N, Takubo S, Toyoda N. Gasless laparoscopy under epidural anesthesia for adnexal cysts during pregnancy. J Reprod Med 1999;44:929–32.
  • Beebe DS, Swica H, Carlson N, Palahniuk RJ, Goodale RL. High levels of carbon monoxide are produced by electro-cautery of tissue during laparoscopic cholecystectomy. Anesth Analg 1993;77:338–41.
  • Guidelines for diagnosis, treatment and use of laparoscopy for surgical problems in pregnancy. Los Angeles(CA): Society of American Gastrointestinal and Endoscopic Surgeons(SAGES);2011.
  • Guidelines Committee of the Society of American Gastrointestinal and Endoscopic Surgeons. Yumi H. Guidelines for diagnosis, treatment and use of laparoscopy for surgical problems in pregnancy. Surg Endosc.2000;10:511-5.
  • Schemeler K, William W, Jeffrey PF, et al. Adnexal massesin pregnancy: Surgery compared with observation. Obstet Gynecol.2005;105:1098-103.
  • Backes CH,Moorehead PA, Nelin LD. Cancer in pregnancy: fetal and neonatal outcomes. Clin Obstet Gynecol 2011;54:574–90.
  • Brewer M, Keuck A, Runowicz CD. Chemotherapy in pregnancy. Clin Obstet Gynecol 2011;54:602–18.
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm KADIN HASTALIKLARI VE DOĞUM
Yazarlar

Elif Meşeci Bu kişi benim

Semra Kayataş

Cem Öncüloğlu Bu kişi benim

Fuat Demirkıran Bu kişi benim

Yayımlanma Tarihi 21 Ocak 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 46 Sayı: 1

Kaynak Göster

APA Meşeci, E., Kayataş, S., Öncüloğlu, C., Demirkıran, F. (2015). Gebelikte adneksiyel kitleye yaklaşım: olgu sunumu ve derleme. Zeynep Kamil Tıp Bülteni, 46(1), 13-18. https://doi.org/10.16948/zktb.92502
AMA Meşeci E, Kayataş S, Öncüloğlu C, Demirkıran F. Gebelikte adneksiyel kitleye yaklaşım: olgu sunumu ve derleme. Zeynep Kamil Tıp Bülteni. Şubat 2015;46(1):13-18. doi:10.16948/zktb.92502
Chicago Meşeci, Elif, Semra Kayataş, Cem Öncüloğlu, ve Fuat Demirkıran. “Gebelikte Adneksiyel Kitleye yaklaşım: Olgu Sunumu Ve Derleme”. Zeynep Kamil Tıp Bülteni 46, sy. 1 (Şubat 2015): 13-18. https://doi.org/10.16948/zktb.92502.
EndNote Meşeci E, Kayataş S, Öncüloğlu C, Demirkıran F (01 Şubat 2015) Gebelikte adneksiyel kitleye yaklaşım: olgu sunumu ve derleme. Zeynep Kamil Tıp Bülteni 46 1 13–18.
IEEE E. Meşeci, S. Kayataş, C. Öncüloğlu, ve F. Demirkıran, “Gebelikte adneksiyel kitleye yaklaşım: olgu sunumu ve derleme”., Zeynep Kamil Tıp Bülteni, c. 46, sy. 1, ss. 13–18, 2015, doi: 10.16948/zktb.92502.
ISNAD Meşeci, Elif vd. “Gebelikte Adneksiyel Kitleye yaklaşım: Olgu Sunumu Ve Derleme”. Zeynep Kamil Tıp Bülteni 46/1 (Şubat 2015), 13-18. https://doi.org/10.16948/zktb.92502.
JAMA Meşeci E, Kayataş S, Öncüloğlu C, Demirkıran F. Gebelikte adneksiyel kitleye yaklaşım: olgu sunumu ve derleme. Zeynep Kamil Tıp Bülteni. 2015;46:13–18.
MLA Meşeci, Elif vd. “Gebelikte Adneksiyel Kitleye yaklaşım: Olgu Sunumu Ve Derleme”. Zeynep Kamil Tıp Bülteni, c. 46, sy. 1, 2015, ss. 13-18, doi:10.16948/zktb.92502.
Vancouver Meşeci E, Kayataş S, Öncüloğlu C, Demirkıran F. Gebelikte adneksiyel kitleye yaklaşım: olgu sunumu ve derleme. Zeynep Kamil Tıp Bülteni. 2015;46(1):13-8.